Osteoarthritis

Whole grain consumption and risk of radiographic knee osteoarthritis: a prospective study from the Osteoarthritis Initiative

Rheumatology (Oxford)Published Prospective cohort study

Main finding · Incident radiographic knee OA by total whole grain consumptionResult — go to the resultHazard ratio 0.66 95% CI 0.52–0.84

Authors' conclusion

Our findings revealed a significant inverse association of whole grain consumption with knee OA risk.

Study context

Population
Osteoarthritis Initiative participants aged 45–79 years, free from radiographic knee OA (Kellgren-Lawrence grade <2) in at least one knee at baseline518 developed incident knee OA
Participants
2,846 participants
Exposure
Highest vs lowest quartile of whole grain consumption
Outcome
Incident radiographic knee OA (Kellgren-Lawrence grade ≥2)
Follow-up
96 months
Methodological detailsCox proportional hazards models, adjusted for demographic, socio-economic, clinical and other dietary factors
  • Cox proportional hazards models
  • Adjusted for demographic, socio-economic, clinical and other dietary factors

Main finding

As reported in the abstract

Incident radiographic knee OA by total whole grain consumption

Hazard ratio

0.66

95% CI 0.52–0.84

P < 0.01 for trend

Quartile 4vs Quartile 1
HR 0.66 (95% CI 0.52–0.84); P for trend < 0.01

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
Incident knee OA by dark bread consumption · 96 months0.68 (0.53–0.87)P for trend < 0.01
Incident knee OA by cereal fibre intake · 96 months0.61 (0.46–0.81)P for trend < 0.01

Original publication

Whole grain consumption and risk of radiographic knee osteoarthritis: a prospective study from the Osteoarthritis Initiative. Rheumatology (Oxford). Published 21 September 2022. doi:10.1093/rheumatology/keac517

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